Giant Leech

Pathfinder Remaster. Stats use the Pathfinder Remaster rules from Pathfinder Monster Core 2.

The Giant Leech is a Level 2 creature, with Armor Class 17 and 32 hit points. The giant leech is a bloated aquatic predator that lurks in stagnant waters, sensing prey through subtle vibrations.

Giant Leech, original Pathfinder 2e monster artwork by ZapGM

Stat Block

Abilities & Attacks

Tremorsense 30 feet. Tremorsense allows a monster to feel the vibrations through a solid surface caused by movement. It is an imprecise sense with a limited range (listed in the ability). Tremorsense functions only if the monster is on the same surface as the subject, and only if the subject is moving along (or burrowing through) the surface. Blood Drain (1 action). Requirements The giant leech has a living creature Grabbed or Restrained. Effect The giant leech drains blood from the creature it has grabbed or restrained. This deals 2d4 piercing damage (DC 18 basic Fortitude save). A creature that takes any damage from having its blood drained by a giant leech is Drained 1 until it receives any kind or amount of healing. Grab (1 action). Requirements The monster's last action was a successful Strike that lists Grab in its damage entry, or the monster has a creature Grabbed or Restrained. Effect If used after a Strike, the monster attempts to Grapple the creature using the body part it attacked with. This attempt neither applies nor counts toward the creature's multiple attack penalty. The monster can instead use Grab and choose one creature it's grabbing or restraining with an appendage that has Grab to automatically extend that condition to the end of the monster's next turn.

Common Questions

How much HP does a Giant Leech have?

32 hit points.

What level is a Giant Leech?

Level 2.

What is a Giant Leech's Armor Class?

AC 17.

How fast can a Giant Leech move?

Speed 5 ft., swim 20 ft.

Use Giant Leech at your table

Original custom artwork found nowhere else on the web, free to view. Copy-paste the full stat block straight into your notes, a Word doc, or your VTT, or sign in to claim Giant Leech into a ZapGM campaign and customize it further.

License

This product is licensed under the ORC License located at the Library of Congress at TX 9-307-067 and available online at various locations including paizo.com/orclicense, azoralaw.com/orclicense, and others. All warranties are disclaimed as set forth therein.

Game mechanics on this page are based on Pathfinder Monster Core 2 © 2025 Paizo Inc. Full attribution is on zapgm.com/legal.

The game mechanics ZapGM publishes from these books remain ORC Licensed Material: you may reuse them under the ORC License.

The creature description and artwork are ZapGM Reserved Material.

Pathfinder is a trademark of Paizo Inc. ZapGM is not affiliated with Paizo.

Legal notices

More Monsters